Clinical Study On Treatment Of Gastroesophageal Reflux Disease With Acupuncturing Duke

ObjectiveAccording to the clinical, long time of practice has proved, in accordance with gastro-esophageal reflux diseases (GERD) of the dorsal segment of the Governor Vessel exist regular tenderness positive reflecting point, try to use acupuncture stimulating the T3-T9 section of the spine (including both acupoints and non-acupoints) treatment, and compare with taking Omeprazole enteric capsule treatment of western medicine group, thus further objective evaluation of acupuncture treatment of the clinical curative effect of GERD, and observe acupuncture GERD patients the dorsal segment of the Governor Vessel (period of T3 to T9) tenderness changes and its clinical significance.MethodsFrom January 2014 to June 2015, the collection of hospital acupuncture clinic GERD patients 60 cases. Cases are consistent with the diagnostic criteria, after patients’ informed consent in order randomly divided into acupuncture group and the western medicine group, 30 cases in each group. Minimum age 23 years old, biggest 79 years old; The shortest duration 4 days, the longest 40 years. In the acupuncture group, the minimum age of 32, the biggest age 70; The shortest duration 4 days, the longest 40 years. In the western medicine group, the minimum age of 23, the biggest age 79; The shortest duration of 4 months, the longest 30 years. Two groups of patients with GERD in the basic information (sex, age and course of the disease), there is no difference (P>0.05). Selecting T3 to T9 for acupuncture group, after the needle arrival of qi, retaining needle for 30 minutes, every 10 to 15 minutes of the plug, twisting operation technique, treatment to go once every other day, a total of three times a week. The western medicine group patients take Omeprazole enteric capsules (20mg/day) in the morning and evening, and the treatment time for eight weeks. Before and after treatment, two groups of patients according to the situation in the clinical symptoms, truthfully record Reflux disease diagnostic questionnaire (RDQ) and degree of GERD symptoms questionnaire, statistics and comparison, and in the T3-T9 detect tenderness degree and tenderness threshold.Results1. Compared two groups of patients before and after treatment RDQ rating scale: Acupuncture group and western medicine group after treatment, RDQ rating scale were significantly lower (P<0.05),the contrast of the two groups before treatment has no difference (P>0.05),after treatment the acupuncture group patients score significantly less than western medicine group (P<0.05).2. Compare two groups of patients with RDQ scale effect:After treatment acupuncture group patients healed in 11 cases,10 cases had marked effect, progress in 5 cases,4 cases were invalid, the markedly effective rate of 70%.Western medicine group patients after treatment,5 cases cured,8 cases had marked effect, progress in 8 cases, invalid 9 cases, the markedly effective rate of 43.3%.Two groups of comparison, acupuncture curative effect is better than western medicine group (P<0.05).3. Compare two groups of patients before and after treatment the degree of GERD symptoms rating scale:Acupuncture group and western medicine group after treatment, the degree of GERD symptoms scores were significantly lower (P<0.05),there was no difference in the comparison of the two groups before treatment scale score (P>0.05),after treatment of acupuncture rating scale significantly less than western medicine group (P<0.05).4. Compare two groups of patients with GERD symptoms rating scale effect: Acupuncture group after treatment to cure 3 cases,18 cases were markedly effective, effective 7 cases, ineffective in 2 cases, the total effective rate 93.3%.Western medicine group after treatment to cure the patient 0 cases,4 cases were markedly improved, effective in 16 cases, 10 cases were invalid, the total effective rate was 66.7%.Compare of two groups, acupuncture treatment group is higher than western medicine group (P<0.05).5. Compare two groups of patients tenderness degree of change:Compare two groups of patients before and after treatment of tenderness, in T3-T9 period before treatment the tenderness were greater than after treatment (P<0.05).Compare two groups after treatment, acupuncture group patients degree of pressure relief than western medicine group (P<0.05).6. Compare two groups of patients with tenderness threshold changes:After treatment, acupuncture group and western medicine group patients tenderness threshold were significantly increased in T5-T7 (P<0.05),in this region, compared two groups of patients before treatment(P>0.05),acupuncture group on the improvement of the tenderness threshold is greater than the western medicine group (P<0.05).Before and after treatment, compared two groups of patients, tenderness threshold no difference in T3, T4 and T8, T9 (P>0.05).Conclusion1. The curative effect of acupuncture treatment of GERD is superior to western medicine group, has both integrity and bi-directional characteristics. Compared with common acid suppression drugs, acupuncture treatment is not only for single clinical symptoms. In the T3-T9 area, T7 has corresponding diaphragm, boundary of upper jiao and middle jiao, acupuncture this area, can stimulate Yang qi of the Governor Vessel, effectively treat mental, respiratory and digestive system disease, is worth in clinical promotion and application.2. After acupuncture treatment of GERD, tenderness threshold is significantly higher than western medicine group from T5 to T7. Governor Vessel of back pressure can be used as evaluation index of effect of acupuncture treatment of GERD. Acupuncture Governor Vessel T3-T9 section back, not only can be used in the treatment of GERD patients, can also according to the pressure change condition of T5-T7, judgment condition to improve the situation.